Document Detail

Arthroscopically assisted osteosynthesis of tibial plateau fractures in patients older than 55 years.
MedLine Citation:
PMID:  11600979     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To evaluate the end results of arthroscopically assisted osteosynthesis of tibial plateau fractures in patients older than 55 years of age.
TYPE OF STUDY: Case series.
METHODS: Over a 5-year period, 201 consecutive patients presented with tibial plateau fracture; 131 of these patients were treated with arthroscopically assisted osteosynthesis of the tibial plateau. Inclusion in the retrospective analysis was limited to those patients older than 55 years at the time of injury and those who were available for follow-up at the time of the study. Thirty patients met these criteria.
RESULTS: Secondary displacement occurred in 9 patients (30%) within 12 weeks after surgery. After a median follow-up of 3 years, 24 of 30 patients (80%) had an excellent or good clinical result according to the modified Rasmussen criteria. There was no difference in clinical outcome between the patients with or without secondary displacement of the fracture.
CONCLUSIONS: Given the good clinical results, arthroscopically assisted osteosynthesis has been shown to be highly efficient in the treatment of tibial plateau fractures in the elderly.
W H Roerdink; J Oskam; P A Vierhout
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association     Volume:  17     ISSN:  1526-3231     ISO Abbreviation:  Arthroscopy     Publication Date:  2001 Oct 
Date Detail:
Created Date:  2001-10-15     Completed Date:  2002-01-07     Revised Date:  2014-07-28    
Medline Journal Info:
Nlm Unique ID:  8506498     Medline TA:  Arthroscopy     Country:  United States    
Other Details:
Languages:  eng     Pagination:  826-31     Citation Subset:  IM    
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MeSH Terms
Aged, 80 and over
Arthroscopy / methods*
Bone Substitutes / therapeutic use
Fracture Fixation / methods*
Joint Instability / surgery
Middle Aged
Retrospective Studies
Tibial Fractures / radiography,  surgery*
Treatment Outcome
Reg. No./Substance:
0/Bone Substitutes

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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